Determination of the Minimum Detectable Change in the Total and Segmental Volumes of the Upper Limb, Evaluated by Perimeter Measurements
| Autor: | Mario A. Horta-Gim, José A. de Paz, José Manuel Tánori-Tapia, Néstor Antonio Camberos, Ena Monserrat Romero-Pérez, Gabriel Núñez-Othón, Carlos Medina-Pérez |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Leadership and Management medicine.medical_treatment lcsh:Medicine Health Informatics Wrist minimal detectable change Article Perimeter 03 medical and health sciences breast cancer 0302 clinical medicine Breast cancer Health Information Management hemic and lymphatic diseases Medicine standard error of measurement 030212 general & internal medicine reliability business.industry Health Policy lcsh:R Axillary Lymph Node Dissection lymphedema Circumference medicine.disease humanities body regions Radiation therapy Lymphedema medicine.anatomical_structure 030220 oncology & carcinogenesis Upper limb Radiology circumference measurement business |
| Zdroj: | Healthcare Healthcare, Vol 8, Iss 285, p 285 (2020) Volume 8 Issue 3 |
| ISSN: | 2227-9032 |
| DOI: | 10.3390/healthcare8030285 |
| Popis: | Among female breast cancer survivors, there is a high prevalence of lymphedema subsequent to axillary lymph node dissection and axillary radiation therapy. There are many methodologies available for the screening, diagnosis and follow-up of breast cancer survivors with or without lymphedema, the most common of which is the measurement of patients&rsquo arm circumference. The purpose of this study was to determine the intra-rater minimal detectable change (MDC) in the volume of the upper limb, both segmentally and globally, using circumference measurements for the evaluation of upper limb volume. In this study, 25 women who had received a unilateral mastectomy for breast cancer stage II or III participated. On two occasions separated by 15 min, the same researcher determined 11 perimeters for each arm at 4 cm intervals from the distal crease of the wrist in the direction of the armpit. The MDC at the segmental level ranged from 3.37% to 7.57% (2.7 to 14.6 mL, respectively) and was 2.39% (42.9 mL) at the global level of the arm thus, minor changes in this value result in a high level of uncertainty in the interpretation of the results associated with the diagnosis of lymphedema and follow-up for presenting patients. |
| Databáze: | OpenAIRE |
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